ABSTRACT
Objective:To investigate the risk factors related to hydrocephalus following traumatic brain injury in neurosurgical rehabilitation unit. Methods:From January 1st, 2016 to December 31st, 2017, 176 patients with traumatic brain injury admitting to the Department of Neurosurgery of Beijing Bo'ai Hospital were selected. They were divided into hydrocephalus group and non-hydrocephalus group according to the admitting diagnosis, and analyzed the related factors with univariate analysis and Logistic multiple regression. Results:There were 46% patients with hydrocephalus. Traumatic subarachnoid hemorrhage (OR = 4.127, 95%CI 1.742~9.776), course of disease (OR = 3.377, 95%CI 2.281~5.000) and process of operation (OR = 2.265, 95%CI 1.076~4.770) were independent risk factors to hydrocephalus. Conclusion:Hydrocephalus often emerge after traumatic brain injury in the rehabilitation period, especially for those with subarachnoid hemorrhage, course of disease over two months and surgery within 24 hours after injury.
ABSTRACT
@#Ageing is associated with changes in body balance mechanism. The gold standard assessment for body balance is posturography. However, because of the high cost constraints, not many health centers are equipped with the equipment. Nintendo Wii balance board (WBB) has been reported as a potential tool to be used to assess body balance and sway. Also, because WBB is more economical and portable, it has greater potential to be used in primary health centers and community settings. The objective of this study was to compare balance measures using BRU™ and WBB among young and older healthy adults during quiet standing. Thirty three young (26.9±5.6 years) and 33 older adults (65.6±4.4 years) were randomly tested on both equipments. Subjects performed 30sec trial for each of the four testing conditions: quiet standing on a firm or compliant surface (foam) with eyes-open and closed. The results showed significant differences in balance measurements between all four testing conditions and age groups using both equipments.This study also found significant positive correlations between the COPand sway velocity, SV (of the BRU™) and COB (of the WBB) in all test conditions. These results indicated that WBB coupled with its commercially available software could potentially be used as a screening tool for balance assessment in primary health centres.
ABSTRACT
Ageing is associated with changes in body balance mechanism. The gold standard assessment for body balance is posturography. However, because of the high cost constraints, not many health centers are equipped with the equipment. Nintendo Wii balance board (WBB) has been reported as a potential tool to be used to assess body balance and sway. Also, because WBB is more economical and portable, it has greater potential to be used in primary health centers and community settings. The objective of this study was to compare balance measures using BRU™ and WBB among young and older healthy adults during quiet standing. Thirty three young (26.9±5.6 years) and 33 older adults (65.6±4.4 years) were randomly tested on both equipments. Subjects performed 30sec trial for each of the four testing conditions: quiet standing on a firm or compliant surface (foam) with eyes-open and closed. The results showed significant differences in balance measurements between all four testing conditions and age groups using both equipments.This study also found significant positive correlations between the COPand sway velocity, SV (of the BRU™) and COB (of the WBB) in all test conditions. These results indicated that WBB coupled with its commercially available software could potentially be used as a screening tool for balance assessment in primary health centres.
ABSTRACT
Deep vein thrombosis (DVT) and subsequent pulmonary embolism (PE) remain significant causes of morbidity, mortality in patients with spinal cord injury (SCI). Since incidence of DVT after SCI in Korean population has not been much studied, we retrospectively analyzed the medical records of 185 SCI patients admitted for acute rehabilitation unit to investigate the incidence of DVT. Color Doppler ultrasonography was performed to screen for the occurrence of DVT at the time of initial presentation to acute rehabilitation unit. Primary study outcome was the incidence of DVT. Possible risk factors for DVT including the epidemiologic characteristics, completeness of motor paralysis, cause of injury, spasticity, surgery, and active cancer were analyzed. The incidence of DVT after SCI was 27.6%. In multiple logistic regression analysis, absence of spasticity was a significant independent risk factor (P<0.05) for occurrence of DVT. Symptomatic pulmonary embolism was evident in 7 patients without an episode of sudden death. Therefore, it is concluded that the incidence of DVT after SCI in Korean patients is comparable with that in Western populations. This result suggests that pharmacologic thromboprophylaxis should be considered in Korean patients with SCI.
Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Young Adult , Acute Disease , Asian People , Incidence , Logistic Models , Paralysis/etiology , Pulmonary Embolism/epidemiology , Rehabilitation Centers , Republic of Korea , Retrospective Studies , Risk Factors , Spinal Cord Injuries/complications , Venous Thrombosis/epidemiologyABSTRACT
To assess the factors affecting home return after convalescent rehabilitation, we retrospectively compared such items between the patients returning home (subgroup I) and those requiring long-term institutionalization (subgroup II) as follows : the patient's ADL level before admission and the their living environment, the serial changes in their ADL after admission, the duration of acute care, and the length of stay. Subjects comprised 32 patients with cerebrovascular disorder (CVD) and 22 with disuse syndrome (DS) and each of these two groups was divided into subgroup I and II (<i>n</i>=19 and 13 in the CVD group, 11 and 11 in the DS group, respectively). In the CVD group, the mean age of subgroup I was significantly lower than that of subgroup II (65.4±14.0 and 80.3±10.9, respectively). The FIM scores (total, motor, cognition) in subgroup I were significantly higher than those in subgroup II, both at the time of admission and discharge. In the FIM motor items, the scores for mobility and locomotion significantly improved at discharge. In the DS group, there was no difference in the ages between the subgroups (80.5±11.0 and 81.5±11.2, respectively). Subgroup I had more family members and showed a significant increase in their scores for self-care and mobility after admission. In conclusion, home return appears most related to improvement in motor ADL, and this improvement was further influenced by age and cognitive function in the CVD group and by the number of family members in the DS group.